Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.47 / $529.16 / $4,011.00	Facility		$305.47	$529.16	$4,011.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $969.68 / $969.68 / $969.68	Facility	50	$969.68	$969.68	$969.68
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.10 / $244.38 / $258.20	Facility	54	$229.10	$244.38	$258.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $305.47 / $523.74	Professional		$204.30	$305.47	$523.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $416.31 / $587.26	Professional	50	$416.31	$416.31	$587.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $185.41 / $258.20 / $396.71	Professional	54	$185.41	$258.20	$396.71
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $37.08 / $51.64 / $66.19	Professional	55	$37.08	$51.64	$66.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $343.44 / $450.80	Professional		$230.24	$343.44	$450.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.48 / $169.81 / $231.36	Professional		$128.48	$169.81	$231.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.54 / $1,102.11 / $1,606.11	Facility		$832.54	$1,102.11	$1,606.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,248.81 / $1,653.18 / $2,409.17	Facility	50	$1,248.81	$1,653.18	$2,409.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.30 / $346.79 / $659.04	Professional		$284.30	$346.79	$659.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $314.56 / $405.43	Professional		$227.04	$314.56	$405.43